Improving health behaviour outcomes through motivational interviewing in patients with chronic disease

Quirk, F., Dickinson, C., Baune, B., Leicht, A., and Golledge, J. (2010) Improving health behaviour outcomes through motivational interviewing in patients with chronic disease. In: Journal of Science and Medicine in Sport (13) e61-e61. From: ACSMS 2010 Asics Conference of Science and Medicine in Sport, 3 - 6 November 2010, Port Douglas, QLD, Australia.

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Introduction: Peripheral arterial disease (PAD) is a group of disorders leading to impaired blood supply to vital organs. PAD is more common in the elderly and people with poor health behaviours, such as those who smoke and the obese. Poor nutrition, smoking and lack of physical activity are significant modifiable risk factors associated with poor outcome for these patients. It has been previously demonstrated that obesity is an important risk factor for PAD and if it remains uncorrected predicts poor outcomes during follow-up. As many as 80% of patients with PAD are overweight or obese. Effective methods of motivating health behaviour change with elderly patients are needed to improve the outcome for patients who currently have the problem. A 12-week pilot study was conducted to assess the effect of Motivational Interviewing (MI) to improve health behaviours for patients with PAD.

Methodology: 19 participants diagnosed with PAD were randomised to receive MI intervention (n = 8) or a control with no MI (n = 11). Participants in the intervention group received up to four MI sessions over an eight week period that focused on their barriers to change and motivation for engaging in physical activity, medical compliance, dietary improvement and smoking cessation. Outcome was assessed in terms of these behaviours and quality of life at entry and 12 weeks.

Results and conclusions: At the end of the 12 week study, participants in the MI intervention group reported a higher level of physical activity (+33 Mets-min/week) than the control group (−66 Mets-min/week). Participants in the MI intervention group also reported increased consumption of healthy foods (Wilcoxon signed-rank, p = 0.01) and reduced consumption of fast foods (Wilcoxon signed-rank, p = 0.014) over the duration of the study. Quality of life parameters showed improvements in perceived pain for the MI group compared to controls (SF-36 Bodily Pain, Wilcoxon Signed Rank p = 0.08). MI may have a value in improving quality of life and health behaviours in patients with PAD but larger and longer term studies are needed.

Item ID: 15960
Item Type: Conference Item (Abstract / Summary)
ISSN: 1440-2440
Keywords: quality of life, vascular disease, health
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Journal of Science and Medicine in Sport, Volume 13, Supplement 1

Date Deposited: 10 May 2011 00:48
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1102 Cardiovascular Medicine and Haematology > 110201 Cardiology (incl Cardiovascular Diseases) @ 70%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111714 Mental Health @ 30%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920103 Cardiovascular System and Diseases @ 70%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920502 Health Related to Ageing @ 30%
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